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Notes Payable Related to Acquisition (Details) - Medliance - USD ($)
$ in Thousands
1 Months Ended 12 Months Ended
Dec. 31, 2014
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Notes Payable Related to Acquisition        
Fair value of promissory notes $ 14,347     $ 14,347
Subordinated convertible promissory notes        
Notes Payable Related to Acquisition        
Aggregate borrowings $ 16,385     $ 16,385
Interest rate (as a percent) 8.00%     8.00%
Interest expense recognized   $ 709 $ 1,310 $ 4
Fair value of promissory notes $ 14,347     14,347
Term of debt 18 months      
Amortization of discount to interest expense   $ 755 $ 1,280 $ 3